National Provider Identifier
Jennifer Lynn Ellis, M.D.
Jennifer Lynn Ellis, M.D. is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician in Rochester, NY and a listed phone number of (585) 279-5100.
Profile Overview
- NPI
- 1720281991
- Provider Type
- Individual
- Primary Specialty
- Vascular Surgery Physician
- Enumeration Date
- June 06, 2007
- Last Updated
- July 06, 2023
Practice Location
- 601 Elmwood Avenue
- Box 652
- Rochester, NY 14642-8410
Phone: (585) 279-5100
Specialties
- Vascular Surgery Physician (2086S0129X)
Endpoints
- jellis47292@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1720281991
- Entity Type
- Individual
- Last Name
- Ellis
- First Name
- Jennifer
- Middle Name
- Lynn
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Avenue
- Mailing Address Line 2
- Box 652
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8410
- Mailing Country
- US
- Mailing Phone
- (585) 279-5100
- Mailing Fax
- (585) 756-7752
- Practice Street Address
- 601 Elmwood Avenue
- Practice Address Line 2
- Box 652
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-8410
- Practice Country
- US
- Practice Phone
- (585) 279-5100
- Practice Fax
- (585) 756-7752
- Enumeration Date
- June 06, 2007
- Last Updated
- July 06, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Vascular Surgery Physician (2086S0129X)
- Other Identifiers
- 03383828 (NY)